颈肩部保健操在缓解手术室护士颈肩综合征中的干预研究
发布时间：2018-12-10 16:10
【摘要】：目的:通过观察颈肩部保健操对手术室护士颈肩综合征中的预防效果,探讨其在手术室护士颈肩综合征中的作用,为手术室护士颈肩综合征的康复治疗提供有效的干预方法。方法:运用调查法并设计问卷调查河北省手术室护士颈肩综合征发生情况及治疗现状,根据调查结果和手术室护士工作特点,参考国内外文献,在康复医学专家、运动医学专家指导下编制一套护士颈肩部保健操。选择河北省2家三甲医院的手术室护士100名,承德医学院附属医院手术室护士为对照组(n=50),河北医科大学第二医院手术室护士为干预组(n=50),对干预组进行为期10周的保健操干预研究,保健操2次/d,每次30min。采用视觉模拟疼痛评分量表(visual analog scale,VAS)、颈椎功能丧失指数问卷(neck disability index,NDI)、简式健康生活质量问卷(SF-12)、关节活动度(range of motion,ROM)评价干预前、干预4周和干预10周时的干预效果。对干预前、干预后4周、干预后10周的效果进行组内和组间的比较,计量资料采用均数±标准差(x±s)表示,计数资料的比较采用χ2检验,组内比较采用重复测量的方差分析,组间比较采用两样本比较的t检验,P0.05差异有统计学意义。结果:组内比较,干预组干预前和干预4周时VAS、NDI、SF-12和ROM比较差异无统计学意义(P0.05),干预前与干预10周时VAS、NDI、SF-12和ROM比较差异有统计学意义(P0.05),干预4周时和干预10周时VAS、NDI、SF-12和ROM比较差异有统计学意义(P0.05);对照组10周前后VAS、NDI、SF-12和ROM比较差异无统计学意义(P0.05);组间比较,干预前干预组和对照组一般资料比较差异无统计学意义(P0.05),干预4周时干预组和对照组VAS、NDI、SF-12和ROM比较差异有统计学意义(P0.05),干预10周时干预组和对照组VAS、NDI、SF-12和ROM比较差异有统计学意义(P0.05)。结论:颈肩部保健操能有效预防和缓解手术室护士颈肩痛,并且长期坚持效果明显优于短期锻炼。
[Abstract]:Objective: to observe the preventive effect of neck and shoulder exercise on neck shoulder syndrome of nurses in operating room, and to explore its effect on neck shoulder syndrome of nurses in operating room, and to provide effective intervention method for rehabilitation treatment of neck shoulder syndrome of nurses in operating room. Methods: using investigation method and designing questionnaire to investigate the occurrence and treatment status of neck and shoulder syndrome of nurses in operating room in Hebei province. According to the results of investigation and working characteristics of nurses in operating room, referring to domestic and foreign literature, the authors studied the situation of neck and shoulder syndrome of nurses in operation room in Hebei province. Under the guidance of sports medicine experts, a set of nurse neck and shoulder exercises. 100 nurses in operating room were selected from 2 third Class A hospitals in Hebei Province. The nurses of operating room in affiliated Hospital of Chengde Medical College were taken as control group (nn 50), and the nurses in operating room of the second Hospital of Hebei Medical University as intervention group (n 50). In the intervention group, 10 weeks of exercise intervention was carried out, twice a day for 30 mins. Visual analogue pain scale (visual analog scale,VAS), cervical vertebrae dysfunction index (neck disability index,NDI), simple healthy quality of life (SF-12), and joint motion scale (range of motion,ROM) were used to evaluate before intervention. The effect of intervention at 4 weeks and 10 weeks. The results before intervention, 4 weeks after intervention and 10 weeks after intervention were compared within and between groups. The mean 卤standard deviation (x 卤s) was used to measure the data, 蠂 2 test was used to compare the count data, and the variance analysis of repeated measurements was used to compare the data within the group. Two samples were used to compare the t test between groups, P0.05 difference was statistically significant. Results: there was no significant difference in VAS,NDI,SF-12 and ROM between the intervention group and the intervention group before and after 4 weeks of intervention (P0.05), but VAS,NDI, before the intervention and 10 weeks after intervention. There were significant differences between SF-12 and ROM (P0.05), VAS,NDI,SF-12 and ROM at 4 weeks and 10 weeks (P0.05). There was no significant difference in VAS,NDI,SF-12 and ROM between the control group and the control group before and after 10 weeks (P0.05). There was no significant difference in general data between the intervention group and the control group before intervention (P0.05), but there was a significant difference in VAS,NDI,SF-12 and ROM between the intervention group and the control group after 4 weeks of intervention (P0.05). After 10 weeks of intervention, the VAS,NDI,SF-12 and ROM of the intervention group and the control group were significantly different (P0.05). Conclusion: neck and shoulder exercises can effectively prevent and relieve neck and shoulder pain of nurses in operating room, and the effect of long-term persistence is obviously better than that of short-term exercise.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473
本文编号：2370859
[Abstract]:Objective: to observe the preventive effect of neck and shoulder exercise on neck shoulder syndrome of nurses in operating room, and to explore its effect on neck shoulder syndrome of nurses in operating room, and to provide effective intervention method for rehabilitation treatment of neck shoulder syndrome of nurses in operating room. Methods: using investigation method and designing questionnaire to investigate the occurrence and treatment status of neck and shoulder syndrome of nurses in operating room in Hebei province. According to the results of investigation and working characteristics of nurses in operating room, referring to domestic and foreign literature, the authors studied the situation of neck and shoulder syndrome of nurses in operation room in Hebei province. Under the guidance of sports medicine experts, a set of nurse neck and shoulder exercises. 100 nurses in operating room were selected from 2 third Class A hospitals in Hebei Province. The nurses of operating room in affiliated Hospital of Chengde Medical College were taken as control group (nn 50), and the nurses in operating room of the second Hospital of Hebei Medical University as intervention group (n 50). In the intervention group, 10 weeks of exercise intervention was carried out, twice a day for 30 mins. Visual analogue pain scale (visual analog scale,VAS), cervical vertebrae dysfunction index (neck disability index,NDI), simple healthy quality of life (SF-12), and joint motion scale (range of motion,ROM) were used to evaluate before intervention. The effect of intervention at 4 weeks and 10 weeks. The results before intervention, 4 weeks after intervention and 10 weeks after intervention were compared within and between groups. The mean 卤standard deviation (x 卤s) was used to measure the data, 蠂 2 test was used to compare the count data, and the variance analysis of repeated measurements was used to compare the data within the group. Two samples were used to compare the t test between groups, P0.05 difference was statistically significant. Results: there was no significant difference in VAS,NDI,SF-12 and ROM between the intervention group and the intervention group before and after 4 weeks of intervention (P0.05), but VAS,NDI, before the intervention and 10 weeks after intervention. There were significant differences between SF-12 and ROM (P0.05), VAS,NDI,SF-12 and ROM at 4 weeks and 10 weeks (P0.05). There was no significant difference in VAS,NDI,SF-12 and ROM between the control group and the control group before and after 10 weeks (P0.05). There was no significant difference in general data between the intervention group and the control group before intervention (P0.05), but there was a significant difference in VAS,NDI,SF-12 and ROM between the intervention group and the control group after 4 weeks of intervention (P0.05). After 10 weeks of intervention, the VAS,NDI,SF-12 and ROM of the intervention group and the control group were significantly different (P0.05). Conclusion: neck and shoulder exercises can effectively prevent and relieve neck and shoulder pain of nurses in operating room, and the effect of long-term persistence is obviously better than that of short-term exercise.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473
【参考文献】
相关期刊论文 前2条
1 杨永丽;周意;刘慧珠;;护士职业性肌肉骨骼疾患的危险因素及防护对策[J];护理学杂志;2008年02期
2 杨世斌;;颈肌与颈型颈椎病的关系[J];颈腰痛杂志;2008年01期
，本文编号：2370859
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